2002, 07-23 Permit App: 02006170 AdditionProject Number: 02006170 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/23/02 Page 1 of 2
Project Information:
Permit Use: RES ADD - EXTEND DINING ROOM
Setbacks: Front
Site Information:
Left: Right: Rear:
Plat Key: 005230 Name: MIDILOME 7TH ADD
Parcel Number: 45331.4410
Block:
SiteAddress: 3909 S UNION CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Contact: RITCHIE, HAROLD F
Address: 3909 S UNION CT
C - S - Z: SPOKANE, WA 99206
5 / Phone: (509) 926-1556
Group Name:
Project Name:
District: F
Lot:
Owner: Name: RITCHIE, HAROLD F
Address: 3909 S UNION CT
SPOKANE, WA 99206
Hold: ❑
Width: 90 Depth: 163 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Permits:
Operator: JAS Printed By: JAS
Print Date: 7/23/02
Project Number: 02006170 Inv: 1
Application Date: 7/23/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Const Category:
Nbr Of Dwellings:
Bldg W x D: 12
Req Parking:
Description
RES ADD
Addition
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group: R-3 Type: VN
Occupant Load: Building Height:
x 8 Building Sq Ft: 96 Sprinklers: 0
Handicap Parking: Critical Materials: 0
This Application:
Grp Type Notes Sq Ft Valuation
R-3 VN 96 $6,336.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 96 $6,336.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Notes:
208 REQUIRED / SEE PLAT FILE FOR SITE PLAN & OTHER INFO
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$157.61
$157.61
$157.61 $157.61
Stories: 1
Total Project:
Su Ft Valuation
96 $6,336.00
96 $6,336.00
Fee Amount
$125.50
$4.50
$27.61
Amount Paid
$0.00
$0.00
$157.61
Oft
Amount Owing
$157.61
$157.61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JAS
Printed By: JAS Print Date:
7/23/02
4c1
Ilk
SPox COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 3y0 `j LLNton/ C?'
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 4 644 D/A4 2
❑ Building Permit
❑'Change in Use
El Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left Right
School District
Fire District:.
Zoning
OWNER/APPLICANT INFORMATION
El /ridicule who r/xiuld be , onlacied relardlroject
❑, /(honer: { 1 I
I-fii2Da V- P)I {C -LI e'.
Building height to peak
Phone:
I: as:
et2.— 5-- %
❑ ,Applicant /
!-t%�7.0 /C' r-"
�i l Phone: /� /
r� i'I t'C� Fax: 12-6 /SS
Mailing Address:
SC -t06 ' Lt (k) f oo
CI
Finished basement sq. ft.
Occupancy group
Mailing Address:
Garage sq. ft.
City, State, Zip
Cost of project
I leat source (electric, gas, ctc.)
City, State, Zip
❑ Contractor
Phone
fax
❑ I:
Architect/n�nneer
Phone
Fax
Mailing address
Mailing address
Cin, State Zip
Cin-, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
'Total habitable space
2M floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I leat source (electric, gas, ctc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
Now high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Arc critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? O Yes O No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Arc critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Ycs 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( °A)) 0 Ycs 0 No
Arc critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes O No
Ifyes, identifil an site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, idents on site plan 0 Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
O Don't know 0 Ycs 0 No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
Ifyes, ident on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Arc or will there be wells located on the property?
Ifyes, identifil on the site plan 0 Ycs 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Thies, identifi, onsite plan O Yes 0 No
Is there evidence of fill or excavation on the property?
0 Ycs 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( °A)) 0 Ycs 0 No
Arc critical or hazardous materials used or stored on site?
0 Ycs 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 Yes 0 No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
D Yes 0 No
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
0 cnsii ❑ (i 1l CK 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D1VI'l
1?XPIRI ;S:
BANKCARD NUMBER:
AUTI IOR1'ZI?D SIGNATURE: .
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.07 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTS PERMrr CENTER
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